Maxillofacial Plastic and Reconstructive Surgery

  • 제37권
  • /
  • Pages.13.1-13.7
  • /
  • 2015
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

The quantitative sensory testing is an efficient objective method for assessment of nerve injury

  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Jong-Hwa (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Lee, Ji-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Lee, Won (Department of Dentistry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2015.01.29
  • 심사 : 2015.04.22
  • 발행 : 2015.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: This study evaluated Somatosensory evoked potentials (SEP), Quantitative sensory testing (QST), and thermography as diagnostic methods for nerve injury. Methods: From 2006 through 2011, 17 patients (mean age: 50.1 years) from ${\bigcirc}{\bigcirc}{\bigcirc}{\bigcirc}$ Hospital who sought care for altered sensation after dental implant treatment were identified. The mean time of objective assessment was 15.2 months after onset. Results: SEP of Inferior alveolar nerve(IAN) was $15.87{\pm}0.87ms$ on the normal side and $16.18{\pm}0.73ms$ on the abnormal side. There was delayed N20 latency on the abnormal side, but the difference was not statistically significant. In QST, the abnormal side showed significantly higher scores of the current perception threshold at 2 KHz, 250 Hz, and 5 Hz. The absolute temperature difference was $0.55^{\circ}C$ without statistically significance. Conclusion: These results indicate that QST is valuable as an objective method for assessment of nerve injury.

키워드

참고문헌

  1. Tay AB, Zuniga JR (2007) Clinical characteristics of trigeminal nerve injury referrals to a university centre. Int J Oral Maxillofac Surg 36(10):922-7 https://doi.org/10.1016/j.ijom.2007.03.012
  2. Rood JP, Shehab BA (1990) The radiological prediction of inferior alveolar nerve injury during third molar surgery. Br J Oral Maxillofac Surg 28(1):20-5 https://doi.org/10.1016/0266-4356(90)90005-6
  3. Zuniga JR, Meyer RA, Gregg JM, Miloro M, Davis LF (1998) The accuracy of clinical neurosensory testing for nerve injury diagnosis. J Oral Maxillofac Surg 56(1):2-8 https://doi.org/10.1016/S0278-2391(98)90904-1
  4. Renton T, Thexton A, Crean SJ, Hankins M (2006) Simplifying the assessment of the recovery from surgical injury to the lingual nerve. Br Dent J 200(10):569-73 https://doi.org/10.1038/sj.bdj.4813584
  5. Chiappa K (1997) Evoked poential in clinical medicine, 3rd edn. Raven, NewYork
  6. Hashiba Y, Ueki K, Marukawa K, Shimada M, Yoshida K, Shimizu C et al (2007) A comparison of lower lip hypoesthesia measured by trigeminal somatosensory-evoked potential between different types of mandibular osteotomies and fixation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(2):177-85 https://doi.org/10.1016/j.tripleo.2006.11.038
  7. Caissie R, Landry PE, Paquin R, Champigny MF, Berthod F (2007) Quantitative method to evaluate the functionality of the trigeminal nerve. J Oral Maxillofac Surg 65(11):2254-9 https://doi.org/10.1016/j.joms.2006.09.010
  8. Fikackova H, Ekberg E (2004) Can infrared thermography be a diagnostic tool for arthralgia of the temporomandibular joint? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98(6):643-50 https://doi.org/10.1016/j.tripleo.2004.02.080
  9. Buettner UW, Petruch F, Scheglmann K, Stohr M (1982) Diagnostic significance of cortical somatosensory evoked potentials following trigeminal nerve stimulation. Adv Neurol 32:339-45
  10. Nakagawa K, Ueki K, Matsumoto N, Takatsuka S, Yamamoto E, Ooe H (1997) The assessment of trigeminal sensory nerve paraesthesia after bilateral sagittal split osteotomy: modified somatosensory evoked potentials recording method. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 25(2):97-101 https://doi.org/10.1016/S1010-5182(97)80052-2
  11. Jeong HJ, Kim MR (2001) Diagnostic Efficacy of Mental Nerve SEP(Somatosensory Evoked Potentials) for the Injured Inferior Alveolar Nerve. J Korean Assoc Oral Maxillofac Surg 27(3):250-7
  12. Badr GG, Hanner P, Edstrom S (1983) Cortical evoked potentials in response to trigeminus nerve stimulation in humans. Clinical EEG 14(2):61-6 https://doi.org/10.1177/155005948301400204
  13. Stohr M, Petruch F (1979) Somatosensory evoked potentials following stimulation of the trigeminal nerve in man. J Neurol 220(2):95-8 https://doi.org/10.1007/BF00313949
  14. Singh N, Sachdev KK, Brisman R (1982) Trigeminal nerve stimulation: short latency somatosensory evoked potentials. Neurology 32(1):97-101 https://doi.org/10.1212/WNL.32.1.97
  15. Barker GR, Bennett AJ, Wastell DG (1987) Applications of trigeminal somatosensory evoked potentials (TSEPs) in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 25(4):308-13 https://doi.org/10.1016/0266-4356(87)90070-2
  16. Bennett MH, Jannetta PJ (1980) Trigeminal evoked potentials in humans. Electroencephalogr Clin Neurophysiol 48(5):517-26 https://doi.org/10.1016/0013-4694(80)90287-4
  17. Eliav E, Gracely RH, Nahlieli O, Benoliel R (2004) Quantitative sensory testing in trigeminal nerve damage assessment. J Orofac Pain 18(4):339-44
  18. Sang CN, Max MB, Gracely RH (2003) Stability and reliability of detection thresholds for human A-Beta and A-delta sensory afferents determined by cutaneous electrical stimulation. J Pain Symptom Manage 25(1):64-73 https://doi.org/10.1016/S0885-3924(02)00541-9
  19. Holland NR, Stocks A, Hauer P, Cornblath DR, Griffin JW, McArthur JC (1997) Intraepidermal nerve fiber density in patients with painful sensory neuropathy. Neurology 48(3):708-11 https://doi.org/10.1212/WNL.48.3.708
  20. Choi HH, Kim ME, Kim KS (2011) Reliability of Quantitative Sensory Testing Using Current Perception Thresholds in the Mandibular Nerve Area. Korean J Oral Medicine 36(2):131-7
  21. Yekta SS, Smeets R, Stein JM, Ellrich J (2010) Assessment of trigeminal nerve functions by quantitative sensory testing in patients and healthy volunteers. J Oral Maxillofac Surg 68(10):2437-51 https://doi.org/10.1016/j.joms.2009.12.013
  22. Uematsu S, Hendler N, Hungerford D, Long D, Ono N (1981) Thermography and electromyography in the differential diagnosis of chronic pain syndromes and reflex sympathetic dystrophy. Electromyogr Clin Neurophysiol 21(2-3):165-82
  23. Lee H, Kim SG (2005) Application of infrared thermography in dentistry. J Korean Assoc Oral Maxillofac Surg 31(4):335-41
  24. Gratt BM, Sickles EA, Shetty V (1994) Thermography for the clinical assessment of inferior alveolar nerve deficit: a pilot study. J Orofac Pain 8(4):369-74
  25. Uematsu S (1985) Thermographic imaging of cutaneous sensory segment in patients with peripheral nerve injury. Skin-temperature stability between sides of the body. J Neurosurg 62(5):716-20 https://doi.org/10.3171/jns.1985.62.5.0716
  26. Gratt BM, Sickles EA, Wexler CE (1993) Thermographic characterization of osteoarthrosis of the temporomandibular joint. J Orofac Pain 7(4):345-53
  27. Gratt BM, Sickles EA, Wexler CE, Ross JB (1994) Thermographic characterization of internal derangement of the temporomandibular joint. J Orofac Pain 8(2):197-206
  28. Canavan D, Gratt BM (1995) Electronic thermography for the assessment of mild and moderate temporomandibular joint dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79(6):778-86 https://doi.org/10.1016/S1079-2104(05)80316-6
  29. Nahm FS, Koo MS, Kim YH, Suh JH, Shin HY, Choi YM et al (2007) Infrared Thermography in the Assessment of Temporomandibular Joint Dysorder. Korean J Pain 20(2):163-8 https://doi.org/10.3344/kjp.2007.20.2.163
  30. Nahm FS, Lee PB, Park SY, Kim YC, Lee SC (2009) Comparison of the Diagnostic Validity of Real and Absolute Skin Temperature Differences for Complex Regional Pain Syndrome. Korean J Pain 22(2):146-50 https://doi.org/10.3344/kjp.2009.22.2.146
  31. Lee JG, Kim SG, Lim KJ, Choi KC (2007) Thermographic assessment of inferior alveolar nerve injury in patients with dentofacial deformity. J Oral Maxillofac Surg 65(1):74-8 https://doi.org/10.1016/j.joms.2005.11.098
  32. Van Sickels JE, Zysset M, Nishioka GJ, Thrash WJ (1989) A comparative study of normal sensibility of the inferior alveolar nerve and the infraorbital nerve. Oral Surg Oral Med Oral Pathol 67(3):255-7 https://doi.org/10.1016/0030-4220(89)90347-2
  33. Kim YK, Kim SG, Kim JH (2011) Altered sensation after orthognathic surgery. J Oral Maxillofac Surg 69(3):893-8 https://doi.org/10.1016/j.joms.2010.10.025

피인용 문헌

  1. Somatosensory deficits after stroke: a scoping review vol.23, pp.2, 2015, https://doi.org/10.1080/10749357.2015.1116822
  2. Spontaneous healing of lateral femoral cutaneous nerve injury and improved quality of life after total hip arthroplasty via a direct anterior approach : Survey at average 12.8 and 26.2 months of follo vol.25, pp.1, 2015, https://doi.org/10.1177/2309499016684750
  3. Injured Anterior Superior Alveolar Nerve Endoscopically Resected within Maxillary Sinus vol.10, pp.3, 2015, https://doi.org/10.1055/s-0036-1592088
  4. Evaluation of the Preventive Effect of Photobiomodulation on Orofacial Discomfort in Dental Procedures: A Randomized-Controlled, Crossover Study and Clinical Trial vol.39, pp.1, 2021, https://doi.org/10.1089/photob.2020.4875
  5. Diagnostic Implication and Clinical Relevance of Dermatomal Somatosensory Evoked Potentials in Patients with Radiculopathy: A Retrospective Study vol.2021, pp.None, 2015, https://doi.org/10.1155/2021/8850281
  6. Simple Qualitative Sensory Assessment of Patients with Orofacial Sensory Dysfunction vol.46, pp.4, 2015, https://doi.org/10.14476/jomp.2021.46.4.136